ORIGINAL RESEARCH
General Surgery
doi: 10.25005/2074-0581-2026-28-1-100-111
COMPARISON OF THE CLINICAL EFFICACY OF DIFFERENT ABDOMINAL WALL HERNIOPLASTY METHODS USING STANDARD VERSUS NAFION-COATED MESH PROSTHESES

A.G. VAGANOV1,2, A.D. ASANOV1, M.R. KUZNETSOV3, A.A. SHONO2, K.M. KUDUSOV1

1Kabardino-Balkarian State University named after Kh.M. Berbekov, Nalchik, Russian Federation
2Kadyrov Chechen State University, Grozny, Russian Federation
3Levshin Institute of Cluster Oncology, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation

Objective: The study aimed to evaluate the clinical effectiveness of on-lay hernioplasty and anterior component separation using traditional endoprostheses versus Nafion-coated endoprostheses.

Methods: A prospective, non-randomized study was conducted on 140 patients divided into two groups. The study group (n=60) underwent repair using a polypropylene endoprosthesis with a Nafion coating. The control group (n=80) received a traditional endoprosthesis. Groups were further divided into subgroups based on the surgical technique: Subgroups 1A (n=25) and 2A (n=35) underwent on-lay repair, while Subgroups 1B (n=40) and 2B (n=40) underwent anterior separation hernioplasty. All patients underwent standard examinations with a 6-month follow-up. The incidence, nature, and timing of suppurative complications, inflammatory infiltrates, and the volume of lymphorrhea were recorded. Statistical analysis was performed using SPSS 17.0 (IBM Corp., Armonk, NY, USA).

Results: For hernia defects up to 5 cm, the use of Nafion-coated endoprostheses yielded results identical to traditional meshes, regardless of the repair method. However, for defects between 5 cm and 15 cm, significant differences were noted. The Nafion-coated group showed negative wound cultures for pathogenic microflora. Furthermore, separation repairs using the Nafion-coated mesh resulted in significantly lower rates of purulent complications, infiltrates, and seromas compared to the control group.

Conclusion: The use of Nafion-coated polypropylene endoprostheses in various types of anterior abdominal wall repair for PVH patients led to a significant reduction in postoperative lymphorrhea and purulent-inflammatory complications.

Keywords: Postoperative ventral hernia, separation hernioplasty, Nafion, wound suppuration, seroma, polypropylene endoprosthesis.

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Authors' information:

Vaganov Aleksey Gennadievich,
Candidate of Medical Sciences, Associate Professor of the Department of Hospital Surgery, Kabardino-Balkarian State University named after Kh.M. Berbekov; Associate Professor of the Department of International Medical Education, Kadyrov Chechen State University
ORCID ID: 0000-0001-8191-2551
SPIN: 2202-0746
Author ID: 1243342
E-mail: aleksejvaganov4@gmail.com

Aslanov Akhmed Dzonovich,
Doctor of Medical Sciences, Full Professor, Head of the Department of Hospital Surgery, Kabardino-Balkarian State University named after Kh.M. Berbekov
ORCID ID: 0000-0002-7051-0917
SPIN code: 1452-7020
Author ID: 263474
E-mail: dr.aslanov1967@mail.ru

Kuznetsov Maksim Robertovich,
Doctor of Medical Sciences, Full Professor, Deputy Director of the Levshin Institute of Cluster Oncology, I.M. Sechenov First Moscow State Medical University
ORCID ID: 0000-0001-6926-6809
SPIN: 7146-1348
Author ID: 151399
E-mail: mrkuznetsov@mail.ru

Shono Arsbi Ahmad,
Head of the Department of International Education of the Kadyrov Chechen State University
ORCID ID: 0000-0002-3679-520X
E-mail: shonoarsby@yahoo.com

Kudusov Kerim Musaevich,
Applicant, Department of Hospital Surgery, Kabardino-Balkarian State University named after Kh.M. Berbekov
ORCID ID: 0000-0001-6390-7361
E-mail: kerim-kudusov@mail.ru

Information about support in the form of grants, equipment, medications

The author did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Vaganov Aleksey Gennadievich
Candidate of Medical Sciences, Associate Professor of the Department of Hos- pital Surgery, Kabardino-Balkarian State University named after Kh.M. Berbek- ov; Associate Professor of the Department of International Medical Education, Kadyrov Chechen State University

360004, Russian Federation, Nalchik, Chernyshevsky str., 173

Tel.: +7 (916) 2371477

E-mail: aleksejvaganov4@gmail.com


This work is licensed under a Creative Commons Attribution 4.0 International License.

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